| NPI | 1336183573 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME100193) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: FL ME100193) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2015-11-15 |